The nurse is assessing a client's thyroid. The nurse determines the client's thyroid is non-palpable and non-tender. Which is the best explanation of these findings?
The client should be placed on levothyroxine
The client will need a removal of the thyroid gland
This is a normal finding
The nurse did not complete the assessment correctly
The Correct Answer is C
Choice A reason: Levothyroxine treats hypothyroidism, but a non-palpable, non-tender thyroid is normal, not indicating low hormone needing replacement, so this is unnecessary.
Choice B reason: Thyroidectomy addresses hyperthyroidism or masses, not a non-palpable, non-tender gland, which is physiologically normal, making surgery irrelevant here.
Choice C reason: A healthy thyroid is typically non-palpable and non-tender, indicating no enlargement or inflammation, aligning with normal anatomy, so this is correct.
Choice D reason: Proper assessment finds a non-palpable thyroid as normal; suggesting error assumes pathology without evidence, when findings match expected norms.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Emphysema destroys alveoli, causing air trapping and dyspnea, but doesn’t involve excessive mucus production, focusing on structural loss, not glandular activity.
Choice B reason: Peripheral vascular disease impairs arterial flow, causing ischemia and pain, not affecting airways or mucus glands, unrelated to respiratory secretions.
Choice C reason: Heart failure leads to fluid in alveoli (edema), causing crackles, but not excessive mucus, as it’s a circulatory, not inflammatory airway issue.
Choice D reason: Bronchitis inflames bronchial tubes, overactivating goblet cells to produce excess mucus, leading to productive cough, a hallmark of this condition.
Correct Answer is D
Explanation
Choice A reason: Maintaining oxygen saturation helps symptoms but doesn’t diagnose the cause (e.g., MI), delaying critical evaluation of atypical pain and dyspnea.
Choice B reason: Ibuprofen relieves pain but risks bleeding in potential MI, not addressing cardiac etiology of jaw, back pain, and shortness of breath urgently.
Choice C reason: Acetaminophen eases pain but doesn’t assess or treat potential cardiac ischemia, missing the diagnostic priority for these MI-like symptoms.
Choice D reason: An EKG identifies cardiac ischemia (e.g., MI) in atypical pain (jaw, back), dyspnea, and nausea, guiding urgent treatment, the priority action here.
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